产科临床风险管理：子痫演练
Clinical risk management in obstetrics: eclampsia drills.
作者信息
Thompson S, Neal S, Clark V
机构信息
Department of Anaesthetics, St George Hospital, Kograh 2217 Sydney, Australia.
出版信息
Qual Saf Health Care. 2004 Apr;13(2):127-9. doi: 10.1136/qhc.13.2.127.
PROBLEM
Infrequent presentation of patients with eclampsia, leading to staff inexperienced in the condition and untested emergency systems.
DESIGN
"Fire drill" programme using on-site simulation of patients with eclampsia.
SETTING
Tertiary referral obstetric unit.
KEY MEASURES FOR IMPROVEMENT
Successful implementation of measures to optimise management of eclampsia.
STRATEGIES FOR CHANGE
Rapid activation of emergency team after one call, development and dissemination of evidence based protocol for eclampsia, strategically placed "eclampsia boxes," individual staff feedback and education.
EFFECTS OF CHANGE
Efficient and appropriate management of subsequent simulated patients.
LESSONS LEARNT
On-site simulation can identify and correct potential deficiencies in the care of patients with eclampsia.
问题
子痫患者就诊不频繁，导致医护人员对此病症缺乏经验，且应急系统未经检验。
设计
采用子痫患者现场模拟的“消防演习”方案。
地点
三级转诊产科单位。
改进的关键措施
成功实施优化子痫管理的措施。
变革策略
一次呼叫后迅速启动应急小组，制定并传播基于证据的子痫诊疗方案，合理放置“子痫急救箱”，对工作人员进行个人反馈和教育。
变革效果
对后续模拟患者进行高效且恰当的管理。
经验教训
现场模拟可识别并纠正子痫患者护理中潜在的不足。
Zotero 插件